|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$720.53 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$465.29
|
| Rate for Payer: BCBS Complete |
$318.26
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$670.02
|
| Rate for Payer: Cofinity Commercial |
$623.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.29
|
| Rate for Payer: Healthscope Commercial |
$558.35
|
| Rate for Payer: Healthscope Whirlpool |
$558.35
|
| Rate for Payer: Meridian Medicaid |
$318.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$488.55
|
| Rate for Payer: PACE SWMI |
$465.29
|
| Rate for Payer: PHP Medicare Advantage |
$465.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$720.53
|
| Rate for Payer: Priority Health Medicare |
$465.29
|
| Rate for Payer: Priority Health Narrow Network |
$720.53
|
| Rate for Payer: UHC Medicare Advantage |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$967.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$676.90 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$870.30
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$937.99
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$749.72
|
| Rate for Payer: BCN Commercial |
$749.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$908.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$967.00
|
| Rate for Payer: Healthscope Whirlpool |
$937.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$870.30
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$879.97
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$686.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$850.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$735.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$271.79 |
| Max. Negotiated Rate |
$644.96 |
| Rate for Payer: Aetna Commercial |
$556.31
|
| Rate for Payer: Aetna Medicare |
$415.16
|
| Rate for Payer: BCBS Complete |
$285.38
|
| Rate for Payer: BCBS MAPPO |
$415.16
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$415.16
|
| Rate for Payer: Cash Price |
$588.00
|
| Rate for Payer: Cash Price |
$588.00
|
| Rate for Payer: Cofinity Commercial |
$597.83
|
| Rate for Payer: Cofinity Commercial |
$556.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.16
|
| Rate for Payer: Healthscope Commercial |
$498.19
|
| Rate for Payer: Healthscope Whirlpool |
$498.19
|
| Rate for Payer: Meridian Medicaid |
$285.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.92
|
| Rate for Payer: PACE SWMI |
$415.16
|
| Rate for Payer: PHP Medicare Advantage |
$415.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.96
|
| Rate for Payer: Priority Health Medicare |
$415.16
|
| Rate for Payer: Priority Health Narrow Network |
$644.96
|
| Rate for Payer: UHC Medicare Advantage |
$427.61
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$213.85 |
| Max. Negotiated Rate |
$760.38 |
| Rate for Payer: Aetna Commercial |
$432.73
|
| Rate for Payer: Aetna Medicare |
$322.93
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$322.93
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$322.93
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$465.02
|
| Rate for Payer: Cofinity Commercial |
$432.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.93
|
| Rate for Payer: Healthscope Commercial |
$387.52
|
| Rate for Payer: Healthscope Whirlpool |
$387.52
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$339.08
|
| Rate for Payer: PACE SWMI |
$322.93
|
| Rate for Payer: PHP Medicare Advantage |
$322.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$505.03
|
| Rate for Payer: Priority Health Medicare |
$322.93
|
| Rate for Payer: Priority Health Narrow Network |
$505.03
|
| Rate for Payer: UHC Medicare Advantage |
$332.62
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,279.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.80
|
| Rate for Payer: Aetna Medicare |
$309.55
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$309.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$309.55
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$445.75
|
| Rate for Payer: Cofinity Commercial |
$414.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.55
|
| Rate for Payer: Healthscope Commercial |
$371.46
|
| Rate for Payer: Healthscope Whirlpool |
$371.46
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.03
|
| Rate for Payer: PACE SWMI |
$309.55
|
| Rate for Payer: PHP Medicare Advantage |
$309.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.61
|
| Rate for Payer: Priority Health Medicare |
$309.55
|
| Rate for Payer: Priority Health Narrow Network |
$484.61
|
| Rate for Payer: UHC Medicare Advantage |
$318.84
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,279.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$895.30 |
| Max. Negotiated Rate |
$1,279.00 |
| Rate for Payer: Aetna Commercial |
$1,151.10
|
| Rate for Payer: ASR ASR |
$1,240.63
|
| Rate for Payer: BCBS Trust/PPO |
$991.61
|
| Rate for Payer: BCN Commercial |
$991.61
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,202.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,023.20
|
| Rate for Payer: Healthscope Commercial |
$1,279.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,240.63
|
| Rate for Payer: Mclaren Commercial |
$1,151.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,087.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,125.52
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,279.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.80
|
| Rate for Payer: Aetna Medicare |
$309.55
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$309.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$309.55
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$414.80
|
| Rate for Payer: Cofinity Commercial |
$445.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.55
|
| Rate for Payer: Healthscope Commercial |
$371.46
|
| Rate for Payer: Healthscope Whirlpool |
$371.46
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.03
|
| Rate for Payer: PACE SWMI |
$309.55
|
| Rate for Payer: PHP Medicare Advantage |
$309.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.61
|
| Rate for Payer: Priority Health Medicare |
$309.55
|
| Rate for Payer: Priority Health Narrow Network |
$484.61
|
| Rate for Payer: UHC Medicare Advantage |
$318.84
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,279.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$1,151.10
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,240.63
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$991.61
|
| Rate for Payer: BCN Commercial |
$991.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,202.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,023.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,279.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,240.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,151.10
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,087.15
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,163.89
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$908.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,125.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,867.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$600.45 |
| Max. Negotiated Rate |
$3,769.95 |
| Rate for Payer: Aetna Commercial |
$1,260.91
|
| Rate for Payer: Aetna Medicare |
$940.98
|
| Rate for Payer: BCBS Complete |
$630.47
|
| Rate for Payer: BCBS MAPPO |
$940.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,769.95
|
| Rate for Payer: BCN Commercial |
$1,386.87
|
| Rate for Payer: BCN Medicare Advantage |
$940.98
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cofinity Commercial |
$1,260.91
|
| Rate for Payer: Cofinity Commercial |
$1,355.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$940.98
|
| Rate for Payer: Healthscope Commercial |
$1,129.18
|
| Rate for Payer: Healthscope Whirlpool |
$1,129.18
|
| Rate for Payer: Meridian Medicaid |
$630.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$988.03
|
| Rate for Payer: PACE SWMI |
$940.98
|
| Rate for Payer: PHP Medicare Advantage |
$940.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$600.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,006.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,533.54
|
| Rate for Payer: Priority Health Medicare |
$940.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,533.54
|
| Rate for Payer: UHC Medicare Advantage |
$969.21
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$2,039.77 |
| Rate for Payer: Aetna Commercial |
$248.34
|
| Rate for Payer: Aetna Medicare |
$185.33
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$185.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,039.77
|
| Rate for Payer: BCN Commercial |
$366.51
|
| Rate for Payer: BCN Medicare Advantage |
$185.33
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$248.34
|
| Rate for Payer: Cofinity Commercial |
$266.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.33
|
| Rate for Payer: Healthscope Commercial |
$222.40
|
| Rate for Payer: Healthscope Whirlpool |
$222.40
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$194.60
|
| Rate for Payer: PACE SWMI |
$185.33
|
| Rate for Payer: PHP Medicare Advantage |
$185.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.96
|
| Rate for Payer: Priority Health Medicare |
$185.33
|
| Rate for Payer: Priority Health Narrow Network |
$267.96
|
| Rate for Payer: UHC Medicare Advantage |
$190.89
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,132.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$2,624.59 |
| Rate for Payer: Aetna Commercial |
$228.95
|
| Rate for Payer: Aetna Medicare |
$170.86
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.59
|
| Rate for Payer: BCN Commercial |
$342.07
|
| Rate for Payer: BCN Medicare Advantage |
$170.86
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cofinity Commercial |
$246.04
|
| Rate for Payer: Cofinity Commercial |
$228.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.86
|
| Rate for Payer: Healthscope Commercial |
$205.03
|
| Rate for Payer: Healthscope Whirlpool |
$205.03
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$179.40
|
| Rate for Payer: PACE SWMI |
$170.86
|
| Rate for Payer: PHP Medicare Advantage |
$170.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$792.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.13
|
| Rate for Payer: Priority Health Medicare |
$170.86
|
| Rate for Payer: Priority Health Narrow Network |
$247.13
|
| Rate for Payer: UHC Medicare Advantage |
$175.99
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,454.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$1,017.80 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,308.60
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$1,410.38
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.29
|
| Rate for Payer: BCN Commercial |
$1,127.29
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,366.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,163.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,454.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,410.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,308.60
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,235.90
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,323.14
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,032.34
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,279.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$555.50
|
| Rate for Payer: Aetna Medicare |
$414.55
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$414.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$414.55
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$596.95
|
| Rate for Payer: Cofinity Commercial |
$555.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.55
|
| Rate for Payer: Healthscope Commercial |
$497.46
|
| Rate for Payer: Healthscope Whirlpool |
$497.46
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.28
|
| Rate for Payer: PACE SWMI |
$414.55
|
| Rate for Payer: PHP Medicare Advantage |
$414.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.93
|
| Rate for Payer: Priority Health Medicare |
$414.55
|
| Rate for Payer: Priority Health Narrow Network |
$643.93
|
| Rate for Payer: UHC Medicare Advantage |
$426.99
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$555.50
|
| Rate for Payer: Aetna Medicare |
$414.55
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$414.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$414.55
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$596.95
|
| Rate for Payer: Cofinity Commercial |
$555.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.55
|
| Rate for Payer: Healthscope Commercial |
$497.46
|
| Rate for Payer: Healthscope Whirlpool |
$497.46
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.28
|
| Rate for Payer: PACE SWMI |
$414.55
|
| Rate for Payer: PHP Medicare Advantage |
$414.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.93
|
| Rate for Payer: Priority Health Medicare |
$414.55
|
| Rate for Payer: Priority Health Narrow Network |
$643.93
|
| Rate for Payer: UHC Medicare Advantage |
$426.99
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,454.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$1,017.80 |
| Max. Negotiated Rate |
$1,454.00 |
| Rate for Payer: Aetna Commercial |
$1,308.60
|
| Rate for Payer: ASR ASR |
$1,410.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.29
|
| Rate for Payer: BCN Commercial |
$1,127.29
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,366.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,163.20
|
| Rate for Payer: Healthscope Commercial |
$1,454.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,410.38
|
| Rate for Payer: Mclaren Commercial |
$1,308.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,235.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,279.52
|
|
|
PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR
|
Professional
|
Both
|
$1,833.00
|
|
|
Service Code
|
HCPCS 43101
|
| Min. Negotiated Rate |
$263.62 |
| Max. Negotiated Rate |
$1,750.39 |
| Rate for Payer: Aetna Commercial |
$1,331.37
|
| Rate for Payer: Aetna Medicare |
$993.56
|
| Rate for Payer: BCBS Complete |
$669.16
|
| Rate for Payer: BCBS MAPPO |
$993.56
|
| Rate for Payer: BCBS Trust/PPO |
$263.62
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$993.56
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cofinity Commercial |
$1,430.73
|
| Rate for Payer: Cofinity Commercial |
$1,331.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$993.56
|
| Rate for Payer: Healthscope Commercial |
$1,192.27
|
| Rate for Payer: Healthscope Whirlpool |
$1,192.27
|
| Rate for Payer: Meridian Medicaid |
$669.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,043.24
|
| Rate for Payer: PACE SWMI |
$993.56
|
| Rate for Payer: PHP Medicare Advantage |
$993.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,750.39
|
| Rate for Payer: Priority Health Medicare |
$993.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,750.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,023.37
|
|
|
PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 67840
|
| Min. Negotiated Rate |
$99.47 |
| Max. Negotiated Rate |
$410.49 |
| Rate for Payer: Aetna Commercial |
$201.74
|
| Rate for Payer: Aetna Medicare |
$150.55
|
| Rate for Payer: BCBS Complete |
$104.44
|
| Rate for Payer: BCBS MAPPO |
$150.55
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$410.49
|
| Rate for Payer: BCN Medicare Advantage |
$150.55
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$201.74
|
| Rate for Payer: Cofinity Commercial |
$216.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.55
|
| Rate for Payer: Healthscope Commercial |
$180.66
|
| Rate for Payer: Healthscope Whirlpool |
$180.66
|
| Rate for Payer: Meridian Medicaid |
$104.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.08
|
| Rate for Payer: PACE SWMI |
$150.55
|
| Rate for Payer: PHP Medicare Advantage |
$150.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$271.64
|
| Rate for Payer: Priority Health Medicare |
$150.55
|
| Rate for Payer: Priority Health Narrow Network |
$271.64
|
| Rate for Payer: UHC Medicare Advantage |
$155.07
|
|
|
PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC
|
Professional
|
Both
|
$1,199.00
|
|
|
Service Code
|
HCPCS 40816
|
| Min. Negotiated Rate |
$195.32 |
| Max. Negotiated Rate |
$839.30 |
| Rate for Payer: Aetna Commercial |
$393.73
|
| Rate for Payer: Aetna Medicare |
$293.83
|
| Rate for Payer: BCBS Complete |
$205.09
|
| Rate for Payer: BCBS MAPPO |
$293.83
|
| Rate for Payer: BCBS Trust/PPO |
$726.41
|
| Rate for Payer: BCN Commercial |
$590.81
|
| Rate for Payer: BCN Medicare Advantage |
$293.83
|
| Rate for Payer: Cash Price |
$959.20
|
| Rate for Payer: Cash Price |
$959.20
|
| Rate for Payer: Cofinity Commercial |
$423.12
|
| Rate for Payer: Cofinity Commercial |
$393.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.83
|
| Rate for Payer: Healthscope Commercial |
$352.60
|
| Rate for Payer: Healthscope Whirlpool |
$352.60
|
| Rate for Payer: Meridian Medicaid |
$205.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$308.52
|
| Rate for Payer: PACE SWMI |
$293.83
|
| Rate for Payer: PHP Medicare Advantage |
$293.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$839.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.30
|
| Rate for Payer: Priority Health Medicare |
$293.83
|
| Rate for Payer: Priority Health Narrow Network |
$533.30
|
| Rate for Payer: UHC Medicare Advantage |
$302.64
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 40814
|
| Min. Negotiated Rate |
$181.48 |
| Max. Negotiated Rate |
$684.68 |
| Rate for Payer: Aetna Commercial |
$368.70
|
| Rate for Payer: Aetna Medicare |
$275.15
|
| Rate for Payer: BCBS Complete |
$190.55
|
| Rate for Payer: BCBS MAPPO |
$275.15
|
| Rate for Payer: BCBS Trust/PPO |
$684.68
|
| Rate for Payer: BCN Commercial |
$548.78
|
| Rate for Payer: BCN Medicare Advantage |
$275.15
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$396.22
|
| Rate for Payer: Cofinity Commercial |
$368.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.15
|
| Rate for Payer: Healthscope Commercial |
$330.18
|
| Rate for Payer: Healthscope Whirlpool |
$330.18
|
| Rate for Payer: Meridian Medicaid |
$190.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.91
|
| Rate for Payer: PACE SWMI |
$275.15
|
| Rate for Payer: PHP Medicare Advantage |
$275.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$499.77
|
| Rate for Payer: Priority Health Medicare |
$275.15
|
| Rate for Payer: Priority Health Narrow Network |
$499.77
|
| Rate for Payer: UHC Medicare Advantage |
$283.40
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR
|
Professional
|
Both
|
$564.00
|
|
|
Service Code
|
HCPCS 40812
|
| Min. Negotiated Rate |
$116.72 |
| Max. Negotiated Rate |
$465.43 |
| Rate for Payer: Aetna Commercial |
$239.04
|
| Rate for Payer: Aetna Medicare |
$178.39
|
| Rate for Payer: BCBS Complete |
$122.56
|
| Rate for Payer: BCBS MAPPO |
$178.39
|
| Rate for Payer: BCBS Trust/PPO |
$465.43
|
| Rate for Payer: BCN Commercial |
$332.58
|
| Rate for Payer: BCN Medicare Advantage |
$178.39
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cofinity Commercial |
$256.88
|
| Rate for Payer: Cofinity Commercial |
$239.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.39
|
| Rate for Payer: Healthscope Commercial |
$214.07
|
| Rate for Payer: Healthscope Whirlpool |
$214.07
|
| Rate for Payer: Meridian Medicaid |
$122.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.31
|
| Rate for Payer: PACE SWMI |
$178.39
|
| Rate for Payer: PHP Medicare Advantage |
$178.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$394.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.39
|
| Rate for Payer: Priority Health Medicare |
$178.39
|
| Rate for Payer: Priority Health Narrow Network |
$323.39
|
| Rate for Payer: UHC Medicare Advantage |
$183.74
|
|
|
PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE
|
Professional
|
Both
|
$884.00
|
|
|
Service Code
|
HCPCS 42107
|
| Min. Negotiated Rate |
$207.46 |
| Max. Negotiated Rate |
$666.56 |
| Rate for Payer: Aetna Commercial |
$429.60
|
| Rate for Payer: Aetna Medicare |
$320.60
|
| Rate for Payer: BCBS Complete |
$217.83
|
| Rate for Payer: BCBS MAPPO |
$320.60
|
| Rate for Payer: BCBS Trust/PPO |
$306.41
|
| Rate for Payer: BCN Commercial |
$666.56
|
| Rate for Payer: BCN Medicare Advantage |
$320.60
|
| Rate for Payer: Cash Price |
$707.20
|
| Rate for Payer: Cash Price |
$707.20
|
| Rate for Payer: Cofinity Commercial |
$429.60
|
| Rate for Payer: Cofinity Commercial |
$461.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.60
|
| Rate for Payer: Healthscope Commercial |
$384.72
|
| Rate for Payer: Healthscope Whirlpool |
$384.72
|
| Rate for Payer: Meridian Medicaid |
$217.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$336.63
|
| Rate for Payer: PACE SWMI |
$320.60
|
| Rate for Payer: PHP Medicare Advantage |
$320.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$578.57
|
| Rate for Payer: Priority Health Medicare |
$320.60
|
| Rate for Payer: Priority Health Narrow Network |
$578.57
|
| Rate for Payer: UHC Medicare Advantage |
$330.22
|
|
|
PR EXC LESION PALATE UVULA W/O CLOSURE
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 42104
|
| Min. Negotiated Rate |
$86.90 |
| Max. Negotiated Rate |
$1,644.60 |
| Rate for Payer: Aetna Commercial |
$175.61
|
| Rate for Payer: Aetna Medicare |
$131.05
|
| Rate for Payer: BCBS Complete |
$91.24
|
| Rate for Payer: BCBS MAPPO |
$131.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,644.60
|
| Rate for Payer: BCN Commercial |
$320.57
|
| Rate for Payer: BCN Medicare Advantage |
$131.05
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cofinity Commercial |
$175.61
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.05
|
| Rate for Payer: Healthscope Commercial |
$157.26
|
| Rate for Payer: Healthscope Whirlpool |
$157.26
|
| Rate for Payer: Meridian Medicaid |
$91.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.60
|
| Rate for Payer: PACE SWMI |
$131.05
|
| Rate for Payer: PHP Medicare Advantage |
$131.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$237.53
|
| Rate for Payer: Priority Health Medicare |
$131.05
|
| Rate for Payer: Priority Health Narrow Network |
$237.53
|
| Rate for Payer: UHC Medicare Advantage |
$134.98
|
|
|
PR EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE
|
Professional
|
Both
|
$496.00
|
|
|
Service Code
|
HCPCS 42106
|
| Min. Negotiated Rate |
$102.88 |
| Max. Negotiated Rate |
$1,938.86 |
| Rate for Payer: Aetna Commercial |
$211.61
|
| Rate for Payer: Aetna Medicare |
$157.92
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS MAPPO |
$157.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,938.86
|
| Rate for Payer: BCN Commercial |
$374.33
|
| Rate for Payer: BCN Medicare Advantage |
$157.92
|
| Rate for Payer: Cash Price |
$396.80
|
| Rate for Payer: Cash Price |
$396.80
|
| Rate for Payer: Cofinity Commercial |
$227.40
|
| Rate for Payer: Cofinity Commercial |
$211.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.92
|
| Rate for Payer: Healthscope Commercial |
$189.50
|
| Rate for Payer: Healthscope Whirlpool |
$189.50
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.82
|
| Rate for Payer: PACE SWMI |
$157.92
|
| Rate for Payer: PHP Medicare Advantage |
$157.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$347.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$285.75
|
| Rate for Payer: Priority Health Medicare |
$157.92
|
| Rate for Payer: Priority Health Narrow Network |
$285.75
|
| Rate for Payer: UHC Medicare Advantage |
$162.66
|
|
|
PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,245.00
|
|
|
Service Code
|
HCPCS 55520
|
| Min. Negotiated Rate |
$295.64 |
| Max. Negotiated Rate |
$2,718.10 |
| Rate for Payer: Aetna Commercial |
$607.64
|
| Rate for Payer: Aetna Medicare |
$453.46
|
| Rate for Payer: BCBS Complete |
$310.42
|
| Rate for Payer: BCBS MAPPO |
$453.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,718.10
|
| Rate for Payer: BCN Commercial |
$671.93
|
| Rate for Payer: BCN Medicare Advantage |
$453.46
|
| Rate for Payer: Cash Price |
$996.00
|
| Rate for Payer: Cash Price |
$996.00
|
| Rate for Payer: Cofinity Commercial |
$607.64
|
| Rate for Payer: Cofinity Commercial |
$652.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.46
|
| Rate for Payer: Healthscope Commercial |
$544.15
|
| Rate for Payer: Healthscope Whirlpool |
$544.15
|
| Rate for Payer: Meridian Medicaid |
$310.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$476.13
|
| Rate for Payer: PACE SWMI |
$453.46
|
| Rate for Payer: PHP Medicare Advantage |
$453.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$871.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.99
|
| Rate for Payer: Priority Health Medicare |
$453.46
|
| Rate for Payer: Priority Health Narrow Network |
$742.99
|
| Rate for Payer: UHC Medicare Advantage |
$467.06
|
|
|
PR EXC LESION TDN SHTH/JT CAPSL HAND/FNGR
|
Professional
|
Both
|
$1,035.00
|
|
|
Service Code
|
HCPCS 26160
|
| Min. Negotiated Rate |
$78.72 |
| Max. Negotiated Rate |
$912.85 |
| Rate for Payer: Aetna Commercial |
$416.91
|
| Rate for Payer: Aetna Medicare |
$311.13
|
| Rate for Payer: BCBS Complete |
$217.83
|
| Rate for Payer: BCBS MAPPO |
$311.13
|
| Rate for Payer: BCBS Trust/PPO |
$78.72
|
| Rate for Payer: BCN Commercial |
$912.85
|
| Rate for Payer: BCN Medicare Advantage |
$311.13
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cofinity Commercial |
$448.03
|
| Rate for Payer: Cofinity Commercial |
$416.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.13
|
| Rate for Payer: Healthscope Commercial |
$373.36
|
| Rate for Payer: Healthscope Whirlpool |
$373.36
|
| Rate for Payer: Meridian Medicaid |
$217.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$326.69
|
| Rate for Payer: PACE SWMI |
$311.13
|
| Rate for Payer: PHP Medicare Advantage |
$311.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$490.74
|
| Rate for Payer: Priority Health Medicare |
$311.13
|
| Rate for Payer: Priority Health Narrow Network |
$490.74
|
| Rate for Payer: UHC Medicare Advantage |
$320.46
|
|
